NPI | 1821852658 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH D'AMORE Psychiatric Nurse Practitioner 309-396-6425 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |